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<p>This study examined PrEP uptake and the role of gender-affirming care among Black and Latina women of transgender experience and transfeminine people (WTE/TFP) in Los Angeles County from 2019 to 2020 and 2023–2024. PrEP use increased substantially among Latinas (28% to 49%) but declined among Black participants (32% to 21%). PrEP uptake was more prevalent among participants using hormones or reporting methamphetamine use. Having trusted gender-affirming providers increased PrEP use more for Black than Latina participants. Our findings highlight the importance of integrating HIV prevention within gender-affirming care and align with calls for community-led approaches, particularly to mobilize Black WTE/TFP and rebuild trust.</p>

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Brief Report: Disparities in PrEP Use Among HIV-Negative Black and Latina Women of Transgender Experience and Transfeminine People in Los Angeles County from 2019 to 2020 to 2023–2024

  • 期刊论文

  • 发表日期：

    2026年6月17日

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  • Yingbo Ma,
  • Gia Olaes,
  • Ekow Kwa Sey,
  • Angela Cristobal,
  • Siri Chirumamilla

摘要

This study examined PrEP uptake and the role of gender-affirming care among Black and Latina women of transgender experience and transfeminine people (WTE/TFP) in Los Angeles County from 2019 to 2020 and 2023–2024. PrEP use increased substantially among Latinas (28% to 49%) but declined among Black participants (32% to 21%). PrEP uptake was more prevalent among participants using hormones or reporting methamphetamine use. Having trusted gender-affirming providers increased PrEP use more for Black than Latina participants. Our findings highlight the importance of integrating HIV prevention within gender-affirming care and align with calls for community-led approaches, particularly to mobilize Black WTE/TFP and rebuild trust.